Answer this question truthfully
### Question: Who is at highest risk for Uterine prolapse ?
### Response: Uterine prolapse usually happens in women who have had one or more vaginal births. Normal aging and lack of estrogen hormone after menopause may also cause uterine prolapse Chronic cough and obesity increase the pressure on the pelvic floor and may contribute to the prolapse. Uterine prolapse can also be caused by a pelvic tumor, although this is rare. Chronic constipation and the pushing associated with it can worsen uterine prolapse.